Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $977.24 / $1,621.81 / $14,454.40	Facility		$977.24	$1,621.81	$14,454.40
Anthem BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,803.84 / $18,620.87 / $35,481.34	Facility		$13,803.84	$18,620.87	$35,481.34
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $2,344.23 / $3,715.35	Facility		$1,995.26	$2,344.23	$3,715.35
DeanCare Facility/Professional Facility Modifier Low / Median / High Price $912.01 / $7,762.47 / $14,454.40	Facility		$912.01	$7,762.47	$14,454.40
Medica Facility/Professional Facility Modifier Low / Median / High Price $891.25 / $3,388.44 / $9,549.93	Facility		$891.25	$3,388.44	$9,549.93
Quartz Facility/Professional Professional Modifier Low / Median / High Price $1,288.25 / $1,862.09 / $2,754.23	Professional		$1,288.25	$1,862.09	$2,754.23
Quartz Facility/Professional Facility Modifier Low / Median / High Price $1,995.26 / $1,995.26 / $14,791.08	Facility		$1,995.26	$1,995.26	$14,791.08
Quartz Facility/Professional Facility Modifier AS Low / Median / High Price $199.53 / $199.53 / $1,479.11	Facility	AS	$199.53	$199.53	$1,479.11
United Facility/Professional Facility Modifier Low / Median / High Price $2,290.87 / $6,165.95 / $19,498.45	Facility		$2,290.87	$6,165.95	$19,498.45